Mammography Partners LLC

Primary specialty

Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X

Legal business name

MAMMOGRAPHY PARTNERS LLC

Practice address

7860 Gate Parkway
Parking Lot
Jacksonville, FL 32256-3225

Phone

(904) 807-5272

NPI assigned

Jul 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joshua A Hammond

Title

Managing Partner

Phone

(843) 384-3512

Specialties & licenses 1

Addresses

Other names 1

• Maven Mammography Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1851909360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96416",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282960416",
            "telephone_number": "904-807-5272",
            "fax_number": "904-389-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 GATE PARKWAY",
            "address_2": "PARKING LOT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563225",
            "telephone_number": "904-807-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMMOGRAPHY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "843-384-3512"
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maven Mammography",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Maven Mammography",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adut Malwal, RBT
• Steven E. Maly, NP
• David Ethan Mambu
• Hind Mamdouh, APRN
• Julianne Mammana
• Vipul B Mamtora
• Managed Access to Child Health Inc
• Lianne Mananquil, CAA
• Almira Manaois, P.T.
• Adrienne Manasco, PSYD

• Mobile Mammography Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mobile Mammography Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.